Organization Active NPI

Maitri Mental Health

  • Clinical Social Worker
  • Ocean Springs, MS
National Provider Identifier
1093662447
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MAITRI MENTAL HEALTH
Practice address
3670 Groveland Rd Ste a
Ocean Springs, MS 39564-5768
Phone
(228) 365-3191
Fax
(228) 875-9065
NPI assigned
Mar 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Moira Anderson, LCSWNPI 1003559691
Title
Owner
Phone
(228) 365-3191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3670 Groveland Rd Ste a
Ocean Springs, MS 39564-5768

Mailing address

3670 Groveland Rd Ste a
Ocean Springs, MS 39564-5768
Phone (228) 365-3191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260326001322 MS Part B Supplier - Clinic/Group Practice 8628553872 Receives reassigned benefits from 1 practitioner
Practice locations: Ocean Springs, MS

National Provider Directory

National Provider Directory

Locations

3670 Groveland Rd
Ste A
Ocean Springs, MS 39564
Phone (228) 365-3191

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1093662447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 GROVELAND RD STE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645768",
            "telephone_number": "228-365-3191",
            "fax_number": "228-875-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 GROVELAND RD STE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645768",
            "telephone_number": "228-365-3191",
            "fax_number": "228-875-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAITRI MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-13",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MOIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-365-3191",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.